IndividualActive
Soon Jun Park, DDS
NPI 1215615489 · General Practice Dentistry · Redlands, CA
Soon Jun Park, DDS is a General Practice Dentistry provider in Redlands, CA (NPI 1215615489).
Provider details
- NPI number
- 1215615489
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 103838 (CA)
Practice location
26000 W Lugonia Ave Apt 3418
Redlands, CA 92374-5110
Phone: (909) 589-4466
Street-level locationGet directions
Mailing address
26000 W Lugonia Ave Apt 3418
Redlands, CA 92374-5110
Registry dates
- Enumerated
- 2023-07-07
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.